TY - JOUR
T1 - Evaluation of Swallow Function Post-Extubation
T2 - Is It Necessary to Wait 24 Hours?
AU - Leder, Steven B.
AU - Warner, Heather L.
AU - Suiter, Debra M.
AU - Young, Nwanmegha O.
AU - Bhattacharya, Bishwajit
AU - Siner, Jonathan M.
AU - Davis, Kimberly A.
AU - Maerz, Linda L.
AU - Rosenbaum, Stanley H.
AU - Marshall, Peter S.
AU - Pisani, Margaret A.
AU - Siegel, Mark D.
AU - Brennan, Joseph J.
AU - Schuster, Kevin M.
N1 - Publisher Copyright:
© The Author(s) 2019.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Background: Post-extubation dysphagia is associated with an increased incidence of nosocomial pneumonias, longer hospitalizations, and higher re-intubation rates. The purpose of this study was to determine if it is necessary to delay swallow evaluation for 24 hours post-extubation. Methods: A prospective investigation of swallowing was conducted at 1, 4, and 24 hours post-extubation to determine if it is necessary to delay swallow evaluation following intubation. Participants were 202 adults from 5 different intensive care units (ICU). Results: A total of 166 of 202 (82.2%) passed the Yale Swallow Protocol at 1 hour post-extubation, with an additional 11 (177/202; 87.6%) at 4 hours, and 8 more (185/202; 91.6%) at 24 hours. Only intubation duration ≥4 days was significantly associated with nonfunctional swallowing. Conclusions: We found it is not necessary to delay assessment of swallowing in individuals who are post-extubation. Specifically, the majority of patients in our study (82.2%) passed a swallow screening at 1 hour post-extubation.
AB - Background: Post-extubation dysphagia is associated with an increased incidence of nosocomial pneumonias, longer hospitalizations, and higher re-intubation rates. The purpose of this study was to determine if it is necessary to delay swallow evaluation for 24 hours post-extubation. Methods: A prospective investigation of swallowing was conducted at 1, 4, and 24 hours post-extubation to determine if it is necessary to delay swallow evaluation following intubation. Participants were 202 adults from 5 different intensive care units (ICU). Results: A total of 166 of 202 (82.2%) passed the Yale Swallow Protocol at 1 hour post-extubation, with an additional 11 (177/202; 87.6%) at 4 hours, and 8 more (185/202; 91.6%) at 24 hours. Only intubation duration ≥4 days was significantly associated with nonfunctional swallowing. Conclusions: We found it is not necessary to delay assessment of swallowing in individuals who are post-extubation. Specifically, the majority of patients in our study (82.2%) passed a swallow screening at 1 hour post-extubation.
KW - deglutition
KW - deglutition disorders
KW - extubation
KW - intensive care unit
KW - oral alimentation
KW - swallowing assessment
UR - https://www.scopus.com/pages/publications/85062700970
UR - https://www.scopus.com/pages/publications/85062700970#tab=citedBy
U2 - 10.1177/0003489419836115
DO - 10.1177/0003489419836115
M3 - Article
C2 - 30841709
AN - SCOPUS:85062700970
SN - 0003-4894
VL - 128
SP - 619
EP - 624
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 7
ER -